NLC Templates
NLC Templates
NLC Templates
NO. OF DAYS TO BE
GRADE LEVEL
NAME OF TEACHER POSITION ENROLMENT SCHEDULE RENDERED AS
TAUGHT
SCHEDULED
1
Ceres C. Demdam TIII Grade I 11 JULY 1-12, 2014 10
2
Sheryl T. Colle TIII Grade I 11 JULY 1-12, 2014 10
3
Kristine Joy Manga TIII Grade I 12 JULY 1-12, 2014 10
4
Jodelyn R. Bobier MT I Grade II 10 JULY 1-19, 2014 15
5
Marissa B. Rabe TIII Grade II 10 JULY 1-19, 2014 15
6
Krizzia Mae C. Pedrajeta TIII Grade II 10 JULY 1-19, 2014 15
7
Miguela P. Perillo MT I Grade II 10 JULY 1-19, 2014 15
8
Susan E. Barato TIII Grade III 11 JULY 1-19, 2014 15
9
Reynante A. Peñaflor TIII Grade III 11 JULY 1-19, 2014 15
10
Noemi B. Nuevo TIII Grade III 11 JULY 1-19, 2014 15
11
Tessie S. Basagre TIII Grade I 11 JULY 15-19, 2014 5
12
Margarita M. Boy TIII Grade I 11 JULY 15-19, 2014 5
13
Josephine E. Dela Fuente TII Grade I 12 JULY 15-19, 2014 5
Name of School: LIGAO WEST CENTRAL ELEMENTARY SCHOOL (B) Payroll No. :
Fund Cluster : 01101101 Sheet: Page 1 of 1
We acknowledge receipt of cash shown opposite our name as full compensation for services rendered for the period covered.
Supporting
No. of Days
Serial No. Name of Teacher Position Document Presented Period Covered Rate per Day Total Amount Due Signature of Recipient
Rendered
(OR/CENRR)
4 Jodelyn R. Bobier MT I
JULY 1-19, 2024 15 250.00 3,750.00
7 Miguela P. Perillo MT I
JULY 1-19, 2024 15 250.00 3,750.00
TOTAL 37,500.00
A CERTIFIED: All Employees above have rendered services. C APPROVED FOR PAYMENT:
CERTIFIED: Supporting documents complete and proper; and CERTIFIED: Each Employee whose name appears on the payroll has been paid the amount as indicated
B cash available in the amount of D opposite their name E.
37,500.00
ORS/BURS No. : ___________
Date : ____________________
SHERYL D. CERILLO JOANNE B. DE ALA JEV No. : _________________
Accountant III Date Cashier Date : ______________
Appendix 33
ANNEX A
Department of Education
Ligao West Central Elementary School (B)
CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee: Jodelyn R. Bobier Employee No. 4517608
Office: Ligao West Central Elementary School (B)
Division: Ligao Division
Particulars Amount (Pesos)
Meal Expense 250.00
TOTAL 250.00
Purpose
I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that above goods
and services were acquired from parties not issuing receipts. And that I am fully aware that wilful falsification of statements
is punishable by law.
ANNEX A
Department of Education
Ligao West Central Elementary School (B)
CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee: Jodelyn R. Bobier Employee No. 4517608
Office: Ligao West Central Elementary School (B)
Division: Ligao Division
Particulars Amount (Pesos)
Meal Expense 250.00
TOTAL 250.00
Purpose
I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that above goods
and services were acquired from parties not issuing receipts. And that I am fully aware that wilful falsification of statements
is punishable by law.
Signature: